Hello, first post!

Share your ideas about the practical side of caring.
I’m trying to find any useful information around maintaining healthy skin for a geriatric female with double incontinence - we have managed great for around 30 months using Sudocrem for any first signs of bedsores or irritation and everything has been fine until the DN withdrew its use and provided nhs pads - previously and currently using tena pull on type - the lady now has rapid deterioration of the skin - sore at base of spine so is being tilted often - pressure sores on legs and irritation around her bottom! DN refuses to approve Sudocrem and has now suggested that sores are either psoriasis, eczema or allergic reaction to washing products!
It’s so frustrating as we’d managed really well until now and delighted there’d been no major issues.
Sorbaderm has been prescribed but only to be used every third soiling!
Any advice?? We’re unable to use anything that hasn’t been prescribed.
My mum used Sudocream, but apparently the hospital didn't like it. Anyone know why it's gone out of favour?
Hi Ann,
It's very frustrating when professionals meddle and don't listen to those providing the day to day care. I would make an appointment for her with the GP, explain what did work, what has happened since stopping the sudocrem and ask for advice.


Melly1
Hi Ann,
My Mum also used sudocrem for years and years and it always did the trick then it was suddenly frowned upon and I was told not to use it. Something about it being drying, She used to have 'break outs' of sores under her breasts, under her tummy and in her groin. She was a large lady. I was advised to use BP Emulsifying cream on dry areas such as her shins, where the skin was very thin and liable to break down. It's very thick and keeps moisture in/out while protecting.
She was prescribed a cream which was rather like hand cream in texture. Cannot remember the name apart from it started with 'D'. Dipro-something maybe.
Tall container with a plunger.
I would definitely go the her GP. Is one of the GP's a specialist in skin problems or a specialist in 'women's' problems? You need to be very wary of pressure sores. Don't be fobbed off by 'allergies'. Pressure sores can get very deep, very painful and very hard to heal. Has mum been given pressure cushions or a pressure mattress? I'd start kicking up a fuss about her current symptoms before they get beyond help.
It's so hard to keep on top of everything all of the time and sore patches can appear between one check and the next. What's more if your Mum is like mine she doesn't complain until it's bad.
KR
Hi. Have you tried Proshield Plus spray and Proshield cream? You can get it on prescription via your gp
Hello Ann,

Is there an air mattress in place?

Is the DN in question a wound specialist? It is unacceptable for the wounds to actually be worsening under their "care".

Best wishes
There's something wrong with your District Nurses, my wife's had a couple of small pressure sores and the DNs have been like flies around shit.

As a general treatment when there's no problems she has a barrier cream applied to her bum - LBF Barrier Cream, if it needs a bit more help, then Zeroderm is used. For small sore areas (just a bit red) where her catheter sometime rubs on her thigh or her belly I use Doublebase Dayleve Gel, and if the one small sore on her bum gets worse, (which it does every few weeks), I put a Hydrocolloid plaster on it.
The District Nurses should have access to a tissue viability specialist. We were prescribed Cavilon cream for everyday use. My husband also has cushioned dressings for the sacral area. If it is really bad I use Inadine patches underneath the dressing. However the best thing I have used are Aquacell dressings. They really help if the wound is weepy or infected. They are not used as a preventative but during the time the wound needs bringing under control. He has an air mattress and I raise the affected area by using the 30 degree tilt method. Put the patient on their side and push a pillow under them to give a chance for the pressure to be relieved for a short period. Obviously it’s a matter of trial and error but do not be afraid to push for help from the District Nurses.
Cavilon is great and much more expensive than Sudocream. It lasts through a couple of washes too.
When my hubs was diagnosed with pressure sores, it was exactly as Ayjay has said.
Within a week, he had an air cushion for the chair and a pressure mattress.
They are still coming three times a week, even though his back is almost healed. No problems whatsoever with creams or dressings.
Go and see mum's doctor and explain that your mum's skin is deteriorating.